Provider Demographics
NPI:1417849092
Name:CYPHERT, MATTHEW DEREK (DMA, MS-SLP)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:DEREK
Last Name:CYPHERT
Suffix:
Gender:M
Credentials:DMA, MS-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5333 MCAULEY DR RM 2017
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1096
Mailing Address - Country:US
Mailing Address - Phone:734-434-3200
Mailing Address - Fax:
Practice Address - Street 1:5333 MCAULEY DR RM 2017
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1096
Practice Address - Country:US
Practice Address - Phone:734-434-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist